Individual provider Active NPI

Jonathan Andrew Mikhail, AU.D.

  • Audiologist
  • Joplin, MO
National Provider Identifier
1396222196
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
2311 S Jackson Ave
Joplin, MO 64804-1936
Phone
(417) 781-2311
Fax
(417) 781-6477
NPI assigned
Jul 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

2311 S Jackson Ave
Joplin, MO 64804-1936

Mailing address

2311 S Jackson Ave
Joplin, MO 64804-1936
Phone (417) 781-2311

Other identifiers 1

IdentifierTypeStateIssuer
2018026637OtherMOSTATE OF MO, CERTIFICATE/LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180806002011 MO Practitioner - Qualified Audiologist 3971851031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Area Hearing and Speech Clinic IncGroup PAC ID 0648464552, 3 clinicians

Practice addresses (Care Compare)

2311 S Jackson Ave
Joplin, MO 64804-1936
Phone (417) 781-2311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Area Hearing & Speech Clinic, Inc. CurrentSince Jul 24, 2018 Accepting new patients

Locations

2311 S Jackson Ave
Joplin, MO 64804
Phone (417) 781-2311

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1396222196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 S JACKSON AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041936",
            "telephone_number": "417-781-2311",
            "fax_number": "417-781-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 S JACKSON AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041936",
            "telephone_number": "417-781-2311",
            "fax_number": "417-781-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHAIL",
        "first_name": "JONATHAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MO, CERTIFICATE/LICENSE",
            "identifier": "2018026637",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.